Peak District National Park Protected Species Form

The Peak District’s wildlife is a valued characteristic that is important to local people and visitors alike. One of the statutory duties of the National Park Authority is to conserve this natural heritage for future generations to enjoy. The Protected species form will both speed up the planning process for applicants and assist in wildlife conservation.

Applications for Planning and Listed Building Consent will not be registered unless 4 copies of the form are received fully completed and signed by the applicant or agent. Only 1 completed set of forms is required for applications involving both Planning and Listed Building Consent.

Please include 4 copies of the completed form with your planning application using the notes (page 2) and the flow diagram (page 3) to help you.

| Name of Applicant: | Name of Agent: | |--------------------|----------------| | MURMERS RIPLEY | |

| Address of Applicant: | Address of Agent: | |-----------------------|-------------------| | ASH FELL MALHOUSE LANE FROUCAIT S32 3Z8 | Richard Mundy Building Design Ltd | | | Travel House | | | Buxton Road | | | Bakewell DE45 1BZ |

| Address of Proposed Development: | Brief Description of Nature of Proposed Development: | |---------------------------------|-----------------------------------------------------| | AS APPLICANT | INFILL EXTENSION + DORMERS. |

| Planning Portal Reference Number (if applicable): | |--------------------------------------------------| | PP - 051009 72 |

Tick Boxes that apply

I have read the information in this document on Protected species and do not believe a Protected species survey is required for the application

- [ ] (i) the proposed development is not a type listed in Box 1 or 2.
- [ ] (ii) other reasons - Please specify and attach supporting information (photographs, historical documents etc). Please note if you tick this box the registration of your application will be delayed while confirmation checks are made.

OR I have read the enclosed guidance and the proposed development is listed in Box 1 and/or 2 as one which may have an impact on a Protected species.

- [ ] (iii) I enclose 4 copies of a relevant Protected species survey and mitigation report (where presence is confirmed).

Signature of applicant or agent: [Signature]

Date: 25/05/17

Planning Service Team: National Park Office, Baslow Road, Bakewell DE45 1AE. Tel 01629 816200